Provider Demographics
NPI:1154112779
Name:LYTTLE, MARGARET (LMSW)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:LYTTLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:HASWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1339 WESTMORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-3436
Mailing Address - Country:US
Mailing Address - Phone:315-529-8102
Mailing Address - Fax:
Practice Address - Street 1:750 E ADAMS ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-2306
Practice Address - Country:US
Practice Address - Phone:315-464-5540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103411104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker